| Name: | GENESIS PROVIDER AGENCY |
| Jurisdiction: | Idaho |
| Legal type: | Assumed Business Name |
| Status: | Inactive-Cancelled |
| Date of registration: | 04 Apr 2000 (25 years ago) |
| Expiration date: | 04 Apr 2005 |
| Entity Number: | 116726 |
| Place of Formation: | IDAHO |
| File Number: | 0000116726 |
| ZIP code: | 83651 |
| County: | Canyon County |
| Mailing Address: | 26 N JOSEPH DR NAMPA, ID 83651 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Cancellation of Certificate of Assumed Business Name | 0000720121 | 2001-01-23 |
| Initial Filing | 0000116726 | 2000-04-04 |
Date of last update: 23 Sep 2024
Sources: Idaho Secretary of State
